BOOST: Blended Onsite and Offsite Structured Exercise Training and Coaching

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age55+
SponsorWake Forest University Health Sciences

About this trial

Heart failure with preserved ejection fraction (HFpEF) represents a major public health burden that is both growing rapidly and has few effective therapies. Supervised exercise training (SET) is one of the few effective therapies for older patients with HFpEF, but is currently constrained by cost, resource limitations, and sub-optimal short and long-term clinical response. The objective is to develop and test novel strategies to augment the therapy of exercise training to optimize response and resource utilization in older patients with HFpEF.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Diagnosis of heart failure with signs and symptoms of heart failure and at least one of the following: Evidence of increased LV filling pressures at rest, exercise, or other provocations / Prior HF hospitalization / Elevated heart Failure with Preserved Ejection Fraction (H2FPEF) score or elevated Heart Failure Association-Pre-test, Echocardiography & natriuretic peptide, Functional testing, Final etiology (HFA-PEFF) score

Left ventricular ejection fraction ≥ 50%

New York Heart Association (NYHA) functional class II-IV

Age ≥ 55 years old

Disqualifiers

Significant change in cardiac medication or heart failure (HF) symptoms within 3 weeks prior to enrollment

Hospitalization or urgent care visit for HF within 4 weeks prior to enrollment

Acute coronary syndrome, stroke, transient ischemic attack; cardiac, carotid or other major Cardiac Vascular (CV) surgery; percutaneous coronary intervention (PCI) or carotid angioplasty, within 30 days prior to enrolment

Uncontrolled hypertension

Trial design

Design model

Single group

Treatments tested in this trial

  • multi-domain behavioral, coaching, and exercise protocol

    Behavioral

    Group-mediated educational sessions, individual coaching contacts, group exercise sessions, and home-based self-guided exercise - Groups will engage in this iterative, trainer-guided, in-person, aerobic-based exercise and group counseling sessions approximately 2 times/week for 12 weeks.

Treatment groups

14 Participants
are divided into 1 treatment group
Group A: multi-domain behavioral, coaching, and exercise protocolExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Exercise self-efficacy scales Scores

Total score is calculated by summing the responses to each question. This scale has a range of total scores from 0-90. A higher score indicates higher self-efficacy for exercise.

Time frame
Baseline
2

Exercise self-efficacy scales Scores

Total score is calculated by summing the responses to each question. This scale has a range of total scores from 0-90. A higher score indicates higher self-efficacy for exercise.

Time frame
Week 4
3

Exercise self-efficacy scales Scores

Total score is calculated by summing the responses to each question. This scale has a range of total scores from 0-90. A higher score indicates higher self-efficacy for exercise.

Time frame
Week 12
4

Exercise Benefits/Barriers Scale Score

Evaluates how participants determine benefits of and barriers to participating in exercise.

Time frame
Baseline

Secondary outcomes

Other outcomes

Sponsors and contacts

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Wake Forest University Health Sciences

Lead sponsor

National Institute on Aging (NIA)

Collaborator